Rebecca Baker

Something has been off for a while — sleep, focus, mood, or a heaviness that makes ordinary days harder than they should be. You do not have to figure medication out alone.

I'm Rebecca Baker, PMHNP-BC, founder of Steady Mind Psychiatry. I provide psychiatric evaluation and medication management for adolescents and adults across Iowa by telehealth, with in-person visits in Des Moines and West Des Moines. I treat ADHD, anxiety, depression, trauma, bipolar spectrum, sleep problems, and the stress of real Midwestern life — work, parenting, and transitions — with a plan that is explained in plain language, not a one-size protocol.

Care is collaborative and evidence-based. We start with a thorough assessment, then choose medication (when it fits) and practical strategies you can use the same week. I explain the why behind each recommendation, start carefully, and adjust based on how you actually feel — not a checklist. Brief supportive therapy is part of visits when it helps the meds work.

First visit: you are heard, not hurried. You leave with a clear next step. Many people notice better sleep, sharper focus, or a lift in mood within the first few weeks. Same-week telehealth is available statewide in Iowa. I accept major plans through Headway including UnitedHealthcare, Cigna, Oscar, Oxford, Aetna, and Carelon.